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- W3030857514 abstract "ObjectiveTo investigate the safety and efficacy of intraoperative neuroelec-trophysiological monitoring in microsurgery of subtemporal anterior transpetrosal approach to petroclival tumors.MethodsA total of 64 patients with petroclival tumors (meningioma, n=56; trigeminal schwannoma, n=8) underwent surgical treatment with intraoperative neuroelectrophysiological monitoring via subtemporal anterior transpetrosal approach from June 2010 to April 2016 at Department of Neurosurgery, the First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital).ResultsTotal resection was achieved in 41 (64.1%) cases, subtotal resection in 19 (29.7%) and partial resection in 4 (6.2%) cases. Postoperative complications included neurological dysfunction (18.8%, n=12), temporal lobe hematoma (3.1%, n=2), intracranial infection (4.7%, n=3) and 2 (3.1%) died. Preoperative latencies of brain auditory evoked potential (BAEP) Ⅰ, Ⅲ and Ⅴ waves on affected side[(1.86±0.24) ms, (4.17±0.40) ms, (6.17±0.45) ms, respectively] were longer those of contralateral side [(1.73±0.09) ms, (3.85±0.15) ms, (5.80±0.16) ms, respectively] (all P<0.05). Postoperative latency of BAEP Ⅰ, Ⅲ and Ⅴ waves on affected side [(1.79±0.14) ms, (4.04±0.27) ms, (5.94±0.72) ms, respectively] were shorter than those prior to operation (all P<0.05).ConclusionThe application of neuroelectrophysiological monitoring in microsurgery of petroclival tumors via subtemporal anterior transpetrosal approach may provide an early detection of cranial nerve dysfunction and better protection of brain stem function.Key words: Electrophysiology; Brain neoplasms; Petroclival area; Subtemporal anterior transpetrosal approach" @default.
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- W3030857514 date "2018-06-28" @default.
- W3030857514 modified "2023-09-23" @default.
- W3030857514 title "The application of neuroelectrophysiological monitoring in microsurgery of petroclival tumors via subtemporal anterior transpetrosal approach" @default.
- W3030857514 doi "https://doi.org/10.3760/cma.j.issn.1001-2346.2018.06.016" @default.
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